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PROOF OF INSURANCE (2025 - 2026)I'll n m1,a BABCLAB-01 SGONZALEZ A+rC +i ► CERTIFICATE OF LIABILITY INSURANCE DATE(MMIDDIYYYY) 12/25/2024 FREPRESENTATIVE CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS IFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES W. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED OR PRODUCER, AND THE CERTIFICATE HOLDER. RTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must have ADDITIONAL INSURED provisions or be endorsed. BROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement e PRODUCER License # 0757776 C cT Bea Ajanis HUB International Insurance Services Inc. PHONE FAX PO Box 5345 (ABC„N0„E,lp ( 1) 779-8702 � q rc_No (9° 1) 231-2572 -MAIt, caj c u h9!�! ernationa.lcom Riverside, CA 92517 Og ri,6 _ .. _ ,_.._ INSURED �...... . .-.-� ......� --.— ..,. Babcock Laboratories, Inc. Edward S. Babcock & Sons, Inc. P.O. Box 432 Riverside, CA 92502 lNS4AREmR�A 1f)),eTContinental Insurance Com_— . .,�. te — INSURER B,:Transportation,Insurance Company„ Rc Technology nsurance Com _ RD;U.S�Specla,lty Insurance C pang wsuRe...e __._ om,Pany' INSURER RE.R.E.i.......... ,,....................................................,..m. _ 315289 ..._ 20494...... 42376 29599 COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. -.. � ._m„n __ __ ...1...000,000 �.... ...� INSR ADDL SUBR POLICY.NUM URANCE Ili UMBER CE LTR PE OF INSURANCE ..............m.,.___ .,.... POLICY EFF POLi�CY EXP LIMBS A X COMMER E LIABILITY EACH OCCURRENCE $ ' I qq CUR 6071825747 CLAIMS MADH X OCCUR I ,,, Y X _ _ 5/28/2024 5/28/2025 P .M*05.( '1 PFq 'gr1vIfi— 100 00 -- 15,000 MFLIX,P,(Anx onz Person)— $_ . — ^^^^^^^^^^^. 1,000,000 PERSONAL i ADV IN IURY $ ......... 2,000,000 GgS11AOGREGATELIMITAPPLpESPER. G�NERAL,AGGREOATE $.... PRO 2,000,000 ..,.. POLICY .I LOG AGG.l .,.,.,., OTHER: . B -AUTOMOBILE COMBINED(ASINGLE LIMIT LIABILITY .......1,000,000: X ( ANYAUTO 6071825750 5/28/2024 5/28/2025 Aggk,,Y.lNjuRXF!er�ersoni ..M....................................................... OWNED SCHEDULED AUTOS ONLY AUTOS BOLll1.,Y (NURY (Per eac�denG)y„$, „ .,.... ,,,__ X... NON -OWNED �( HIRED POPLRT'"V' AMA'E er cr-ecluyerr+'k $ AUTOS ONLY .,... AUTOS ONLY . _ ............. . UMBRELLA LIAB OCCUR EACH OC URRENCE EXCESS B LAIMS-MADE AGGtREGA DED RETENTION $ C KERS COMPENSATION AND EMPLOYERS'LIABILITY YIN TWC4547795 1/2/2025 1/2/2026 X 1,o00,000 ANYRPROPRIErowP RTNEwExEcunvE �3yPFiCEFIi,y MBER EXCLUDED? N NIA —OTH _ _ I F(AC�I ACCIDENT _�„ '� gMandzakc ry �n NH) OQO 000 F L � SEASE EA EMPLOYE If yes, describe under DESCRIPTION OF OPERATIONS below 1, F.L. DISEASE -POLICY LIMIT ,000,OOO D Professional Liab USS2434767 5/2812024 5/2812025 Ded$50K/Claim$2M/A99 2,000,000 D Professional Liab. USS2434767 5/28/2024 5/28/2025 Deductible 50,000 DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101, AdditionalRemarlts Schedule, may be anached if more space Is required) City of El Segundo Its officials and employees are Additional Insured with regard to General Liability when required! by written contract per the attached endorsement form CNA75079XX 03/22, Primary & Non -Contributory included. Should the policies be cancelled before the expiration date, Hub International Insurance Services Inc. (Hub), independent of any rights which may be afforded within the policies to the certificate holder named below, will provide to such certificate holder notice of such cancellation within thirty (30) days of the cancellation date, except in the event the cancellation is due to non-payment of premium, in which case Hub will provide to such certificate holder notice of such cancellation within ten (10) days of the cancellation date. SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE City of El Segundo THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN tY 9 ACCORDANCE WITH THE POLICY PROVISIONS. Attn: Anthony Esparza Water Division 400 Lomita St. AUTHORIZED REPRESENTATIVE El Segundo, CA 90245 ACORD 25 (2016/03) ©1988-2015 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD CNA CNA PARAMOUNT Blanket Additional Insured - Owners, Lessees or Contractors - with Products -Completed Operations Coverage Endorsement This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART It is understood and agreed as follows: I. WHO IS AN INSURED is amended to include as an Insured any person or organization whom you are required by written contract to add as an additional insured on this Coverage Part, but only with respect to liability for bodily injury, property damage or personal and advertising injury caused in whole or in part by your acts or omissions, or the acts or omissions of those acting on your behalf: A. In the performance of your ongoing operations subject to such written contract; or B. In the performance of your work subject to such written contract, but only with respect to bodily injury or property damage included in the products -completed operations hazard, and only if: 1. The written contract requires you to provide the additional insured such coverage; and 2. This Coverage Part provides such coverage; and C. Subject always to the terms and conditions of this policy, including the limits of insurance, the Insurer will not provide such additional insured with: 1. Coverage broader than what you are required to provide by the written contract; or 2. A higher limit of insurance than what you are required to provide by the written contract. Any coverage granted by this Paragraph I. shall apply solely to the extent permissible by law. II. If the written contract requires additional insured coverage under the 07-04 edition of CG2010 or CG2037, then paragraph I. above is deleted in its entirety and replaced by the following: WHO IS AN INSURED, is amended to include as an Insured any person or organization whom you are required by written contract to add as an additional insured on this Coverage Part, but only with respect to liability for bodily Injury, property damage or personal and advertising injury caused in whole or in part by your acts or omissions, or the acts or omissions of those acting on your behalf: A. In the performance of your ongoing operations subject to such written contract; or B. In the performance of your work subject to such written contract, but only with respect to bodily injury or property damage included in the products -completed operations hazard, and only if: 1. The written contract requires you to provide the additional insured such coverage; and 2. This Coverage Part provides such coverage. III. But if the written contract requires: A. Additional insured coverage under the 11-85 edition, 10-93 edition, or 10-01 edition of CG2010, or under the 10- 01 edition of CG2037; or B. Additional insured coverage with "arising out of language; then paragraph I. above is deleted in its entirety and replaced by the following: WHO IS AN INSURED is amended to include as an Insured any person or organization whom you are required by written contract to add as an additional insured on this Coverage Part, but only with respect to liability for bodily injury, property damage or personal and advertising injury arising out of your work that is subject to such written contract. CNA75079XX (3-22) Page 1 of 3 The Continental Insurance Co. Insured Name: BABCOCK LABORATORIES, INC. Policy NO: 6071825747 Endorsement No: 12 Effective Date: 05/28/2024 Copyright CNA All Rights Reserved. CNA CNA PARAMOUNT Blanket Additional Insured - Owners, Lessees or Contractors - with Products -Completed Operations Coverage Endorsement IV. But if the written contract requires additional insured coverage to the greatest extent permissible by law, then paragraph I. above is deleted in its entirety and replaced by the following: WHO IS AN INSURED is amended to include as an Insured any person or organization whom you are required by written contract to add as an additional insured on this Coverage Part, but only with respect to liability for bodily Injury, property damage or personal and advertising injury arising out of your work that is subject to such written contract. V. The insurance granted by this endorsement to the additional insured does not apply to bodily injury, property damage, or personal and advertising injury arising out of: A. The rendering of, or the failure to render, any professional architectural, engineering, or surveying services, including: 1. The preparing, approving, or failing to prepare or approve maps, shop drawings, opinions, reports, surveys, field orders, change orders or drawings and specifications; and Supervisory, inspection, architectural or engineering activities; or B. Any premises or work for which the additional insured is specifically listed as an additional insured on another endorsement attached to this Coverage Part. VI. Under COMMERCIAL GENERAL LIABILITY CONDITIONS, the Condition entitled Other Insurance is amended to add the following, which supersedes any provision to the contrary in this Condition or elsewhere in this Coverage Part: Primary and Noncontributory Insurance With respect to other insurance available to the additional insured under which the additional insured is a named insured, this insurance is primary to and will not seek contribution from such other insurance, provided that a written contract requires the insurance provided by this policy to be: 1. Primary and non-contributing with other insurance available to the additional insured; or 2. Primary and to not seek contribution from any other insurance available to the additional insured. But except as specified above, this insurance will be excess of all other insurance available to the additional insured. VII. Solely with respect to the insurance granted by this endorsement, the section entitled COMMERCIAL GENERAL LIABILITY CONDITIONS is amended as follows: The Condition entitled Duties In The Event of Occurrence, Offense, Claim or Suit is amended with the addition of the following: Any additional insured pursuant to this endorsement will as soon as practicable: 1. Give the Insurer written notice of any claim, or any occurrence or offense which may result in a claim; 2. Send the Insurer copies of all legal papers received, and otherwise cooperate with the Insurer in the investigation, defense, or settlement of the claim; and 3. Make available any other insurance, and endeavor to tender the defense and indemnity of any claim to any other insurer or self -insurer, whose policy or program applies to a loss that the Insurer covers under this coverage part. However, if the written contract requires this insurance to be primary and non-contributory, this paragraph 3. does not apply to other insurance under which the additional insured is a named insured. The Insurer has no duty to defend or indemnify an additional insured under this endorsement until the Insurer receives written notice of a claim from the additional insured. CNA75079XX (3-22) Page 2 of 3 The Continental Insurance Co. Insured Name: BABCOCK LABORATORIES, INC. Policy No: 6071825747 Endorsement No: 12 Effective Date: 05/28/2024 Copyright CNA All Rights Reserved. CNA CNA PARAMOUNT Blanket Additional Insured - Owners, Lessees or Contractors - with Products -Completed Operations Coverage Endorsement Vill. Solely with respect to the insurance granted by this endorsement, the section entitled DEFINITIONS is amended to add the following definition: Written contract means a written contract or written agreement that requires you to make a person or organization an additional insured on this Coverage 'Part, provided the contract or agreement: A. Was executed prior to: 1. The bodily injury or property damage; or 2. The offense that caused the personal and advertising injury; for which the additional insured seeks coverage; and B. Is still in effect at the time of the bodily injury or property damage occurrence or personal and advertising injury offense. All other terms and conditions of the Policy remain unchanged. W This endorsement, which forms a part of and is for attachment to the Policy issued by the designated Insurers, takes effect on the effective date of said Policy at the hour stated in said Policy„ unless another effective date is shown below, and expires concurrently with said Policy. CNA75079XX (3-22) Page 3 of 3 The Continental Insurance Co. Insured Name: BABCOCK LABORATORIES, INC. Policy No: 6071825747 Endorsement No: 12 Effective Date: 05/28/2024 copyright CNA All Rights Reserved.